248707 08/26/15 Q
CITY OF CARMEL, INDIANA VENDOR: 00350523
ONE CIVIC SQUARE APPARATUS SERVICE CORP CHECK AMOUNT: $ ..."525.00'
CARMEL, INDIANA 46032 5546 ELMWOOD CT CHECK NUMBER: 248707
INDIANAPOLIS IN 46203 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 26975 525.00 OTHER EXPENSES
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Invoice
DATE INVOICE
5546 EMLWOOD Cr.
INDIANAPOLIS,IN 46203 8/13/2015 26975
BILL TO SHIP TO
CARMEL UTILITIES CARMEL UTILI'llES
130 FIRST AVE S.W 130 FIRST AVE S.W.
CARMEL,IN. 46032 CARMEL,IN. 46032
P.O. NO. TERMS DUE DATE REP
Net 30 9/12/2015
ITEM QTY DESCRIPTION U/M RATE AMOUNT
RENTAL I RENTAL OF ALTAIR 5X IN CASE 525.00 525.00
WITH ACC'S
S/N 19653
3 WEEK RENTAL
7-20-2015 TO 8-7-2015
Sales Tax (0.00) $0.00
E-MAIL ADDRESS: Total $525.00
jbrenner@donleysafety.com
Phone(317)786-2491
Fax (317)786-2532
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
Invoice or bill to be pr ,periy !iei i![ed nlL!SL S iOVJ, kind Of service, where
perforr-ned, dates of service rendered, by whom, raves per day, number Of units,
price per unit, etc.
Payee
350523
APPARATUS SERVICE CORP Purchase Order No.
1718 VILLA AVE. Terms
PO BOX 33308 Due Date 8/18/2015
INDPLS, IN 46203
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/18/2015 26975 $525.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER, # 156126 WARRANT # ALLOWED
350523 IN SUM OF S
APPARATUS SERVICE CORP
1718 VILLA AVE.
PO BOX 33308
INDPLS, IN 46203
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
26975 01-7360-02 $525.00
Voucher Total $525.00
Cost distribution ledger classification if
claim paid under vehicle highway fund